Healthcare Provider Details

I. General information

NPI: 1730286170
Provider Name (Legal Business Name): WEST LIBERTY VOLUNTEER FIRE DEPARTMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/08/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1333 VAN METER WAY
WEST LIBERTY WV
26074
US

IV. Provider business mailing address

836 4TH AVENUE
HUNTINGTON WV
25701-1407
US

V. Phone/Fax

Practice location:
  • Phone: 304-336-7500
  • Fax: 304-521-1576
Mailing address:
  • Phone: 304-521-1576
  • Fax: 304-521-1576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: EDWARD WOLF
Title or Position: EMS TREASURER/ASSISTANT FIRE CHIEF
Credential:
Phone: 304-336-7500